REVERSE L ADVANCEMENT FLAP TECHNIQUE FOR PILONIDAL SINUS DISEASE; A PILOT STUDY kararda@yahoo.com

 

REVERSE L ADVANCEMENT FLAP TECHNIQUE FOR PILONIDAL SINUS DISEASE; A PILOT STUDY

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Turkey

Oral only

Pilonidal disease (PD) is a prevalent condition within the community. The management of this condition in general surgery clinics remains a subject of debate.The present study describes the clinical outcomes of patients who have undergone surgery utilising a newly defined reverse L advancement flap technique, a method that facilitates the removal of minimal tissue in the sacrococcygeal region.

Prospectively collected data were retrospectively analysed. A comprehensive analysis was conducted on the patient data, encompassing various demographic and clinical parameters. These included age, gender, body mass index (BMI), disease duration, the number of pits, complications, operation time, length of hospitalisation, and postoperative, 6-month, 12-month, 2-year, and 3-year follow-up results. The initial procedure to be performed is reverse triangle resection, which should include the disease area (see Figure 1). Subsequently, the right reverse L adipofascial advancement flap is performed (see Figure 2).

A total of 16 patients underwent surgical intervention at Erzincan University Hospital between the years 2017 and 2020. The mean follow-up period was 3 years, during which no patient experienced recurrence. The use of a drain was avoided in order to prevent iatrogenic sinus formation. On the initial operative day, all patients are to be positioned in a supine position. The smoking rate within this group was found to be 40%. The results of the analysis showed that there were no complications or recurrences observed in any patient.

This recently described method is considered safe for use in PD.